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General NPI Number Information
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NPI Number | 1063145829
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Entity Type | Organization
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Legal Business Name | ERIC F DSILVA DDS PLLC
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 10/02/2022
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Provider Practice Location Address
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Address Line | 1320 MATTHEWS TOWNSHIP PKWY STE 101
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City | MATTHEWS
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State | NC
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Zip | 28105-4682
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Country | US
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Telephone | 704-246-7241
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Fax |
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Provider Business Mailing Address
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Address Line | 4024 TYNDALE AVE
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City | CHARLOTTE
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State | NC
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Zip | 28210-6260
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Country | US
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Telephone | 315-521-6321
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. ERIC FRANCIS D'SILVA
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Credential | DDS, MS
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Telephone | 315-521-6321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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